Baptist Health South Improves Documentation, Quality And Appropriate Reimbursement With Nuance CDI

Nuance Communications, Inc. (Nasdaq: NUAN) today announced that Baptist Health South Florida has realized $45 million in increased appropriate reimbursement since the implementation of  Nuance Clinical Documentation Improvement (CDI), which optimizes the accuracy and efficiency of physician documentation and communication of patient care. Not only did Baptist Health significantly improve financial outcomes, it improved the tracking and reporting of patient's clinical conditions, which more than doubled metrics including severity of illness (SOI) and risk of mortality (ROM) to directly impact quality of care and treatment decisions.

Baptist Health South Florida deployed Nuance's CDI program across its five hospitals in October of 2011. The improved accuracy and completeness of physician documentation generated a 13% increase in Case Mix Index (CMI) across the system, which translated to $45 million in appropriate reimbursement over the course of four years. The system's largest hospital alone saw a 14% CMI increase and a financial impact of $26.5 million, supporting the care of sicker patients than originally documented.

"The goal of the CDI program is to make sure the final codes accurately reflect the complexity and severity of a patient's illness, promoting accuracy and higher quality of the medical record," said Dr. Lorena Chicoye, corporate medical director of managed care at Baptist. "Once the Nuance clinical documentation program was up and running, it was amazing how much more documentation we were able to capture and the greater specificity we experienced. Now, our documentation more accurately reflects the high quality patient care our physicians are delivering."

Better Insights into Patient CareThrough Nuance's Advanced Practice CDI™ program, Baptist Health more accurately documented the disease acuity of its patient population, which doubled its reporting of severity of illness from 8% to 17.1%, and the mortality risk from 7.7% to 14.5%. Clinicians are now able to provide a more complete and detailed picture of a patient's health to recommend better treatment plans, provide better patient outcomes and more accurately reflect quality especially when publicly reported.

"Nuance is focused on helping clinicians advance quality of care in their communities while also supporting the business of healthcare by helping organizations successfully transition to value-based payments (VBP)," said Satish Maripuri, executive vice president and general manager of the Healthcare Division, Nuance Communications. "Nuance's award winning clinically-focused CDI approach leads to better overall quality ratings and patient care along with tangible financial outcomes, which directly impact how providers are paid. Baptist Health South Florida is a great example of what a Nuance CDI program can do."

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